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TAILOR HASTINGS PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1386319101
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
9003 N GARNETT RD, OWASSO, OK, 740554495
Phone
(918) 272-2882

Specialties & Taxonomies

Physician Assistant Primary License: OK #4935

All Addresses

MAILING

1128 S PARKVIEW ST

CLEVELAND, OK, 740205770

(918) 327-0404

LOCATION

9003 N GARNETT RD

OWASSO, OK, 740554495

(918) 272-2882